1. Journal What thought will you have when you or your wife is pregnant
Journal What thought will you have when you or your wife is pregnant? Does it scare you? What will be your concerns?

2. How babies come to be.

3. An egg goes down the fallopian tube after ovulation; if a sperm makes its way from the vagina through the uterus to the egg within 24 hours, conception is likely to occur.

4. Egg surrounded by sperm
Egg surrounded by sperm. A sperm penetrates the egg and conception occurs. It is called a zygote until it reaches the uterus in 3-4 days.

5. Signs and Symptoms Pregnancy – 40 weeks
A missing menstrual period
Morning sickness and nausea
Frequent urination
Cravings
Breasts enlarge
Fatigue and dizziness
A simple urine test from the doctor will show whether or not a woman is pregnant.

6. The embryo may float freely in the uterus for about 48 hours before implanting.
Upon implantation, complex connections between the mother and embryo develop to form the placenta.

7. Call the doctor if any of the following occur:
Vaginal bleeding
Sharp abdominal pain or cramping
Loss of fluid from the vagina
Severe or prolonged nausea or vomiting
Frequent dizzy spells
Painful urination
High fever over 100 degrees F.
Vaginal discharge that is irritating

8. Obstetrical Care
Obstetrician: Doctor who specializes in the delivery and care of babies.
Prenatal Tests: Tests that monitor the development of babies. These tests can detect early problems.

9. Prenatal Tests:
Week 6-8: 1st Visit Routine physical exam, prenatal blood work and pap test.
Week 16: TRIscreen
Week 18-20:
Ultrasound
Determines blood type, blood count, rubella immunity and HIV Status. STD’s.
Determines birth defects
Confirms birth date, sex, birth problems

10. Prenatal Tests Continued
28 Weeks: 1 hour Glucola
28 Weeks: RH Determination
36 Weeks: Beta Step
Screens for a systematic diabetes in pregnancy
Checks for RH status
Screens for carriers of vaginal beta strep

11. Other considerations:
No medications, including over-the counter drugs, unless approved by your doctor.
No drugs or alcohol.
No x-rays.
No saunas and hot tubs.
No vaccinations during pregnancy.
Avoid cats, cattle, sheep and pigs. They have a parasite that causes toxoplasmosis.

12. Skin – Every woman’s body reacts differently to pregnancy.
Oily, dry or scaly
Stretch marks
Facial skin may darken
Emotions
Need a few extra breaks or time to relax.
May experience mood swings, depression and bad dreams.
Feel baby’s movements

13. Abdomen enlarges Fatigue is common
Expectant fathers take more interest because they can feel the baby move.
Baby moves a lot
A mother should feel the baby move every couple of hours. If not, she should call her doctor.

14. Fetal Movement https://youtu.be/h4ZocXeZjFc
Fetal Ultrasound at 20 weeks

15. Discomforts that might be experienced
Heartburn
Shortness of breath
Heart palpitations
Leg cramps
Round ligament pains
Discomforts that might be experienced

16. Danger Signals Call the doctor if any of these problems occur.
Vaginal bleeding
Sharp abdominal pain/cramping
Loss of fluid
Frequent dizzy spells
Visual disturbances
Nausea or vomiting
Sudden and excessive swelling of face, hands, and feet
Headache
Burning, painful urination
Fever
Vaginal discharge

17. Weight gain during pregnancy 25-30 pounds
Baby – 7 ½ pounds
Placenta – 1 ½ pounds
Uterus – 2 pounds
Amniotic fluid – 1 ½ pound
Extra blood and water – 4 ½ pounds
Breast tissue – 3 pounds
Maternal stores of protein – 4 pounds

18. Baby’s Arrival

19. Pregnancy Issues Toxemia Ectopic Pregnancy Stillborn
Spontaneous Abortion